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Skip Navigation LinksMembers > Exclusions 2012 > Exclusions: Dimension series and Medihelp Plus

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dimension and medihelp plus - What we don’t pay for

 

Medihelp excludes the following from benefits, except in the case of statutory Prescribed Minimum Benefits (PMB):

 

General

  • Services which are not mentioned in the Medihelp Rules as well as services which are not aimed at the generally accepted medical treatment of an actual or a suspected sickness or handicap, which is harmful or threatening to necessary bodily functions (the process of ageing is not considered to be a sickness or handicap). 
  • Travelling and accommodation costs, including meals as well as administration costs of a member and/or service provider.

  • Aptitude and intelligence tests.

  • Operations, treatments and procedures –

    • of own choice;

    • for cosmetic purposes; and

    • for the treatment of obesity, with the exception of the treatment of obesity which is motivated by a medical specialist as life-threatening and approved beforehand by Medihelp.

  • Treatment of wilfully self-inflicted injuries, unless it is a Prescribed Minimum Benefit.

  • The treatment of infertility, other than the following treatment (according to PMB code 902M), subject to pre-authorisation by Medihelp:

    • Hysterosalpinogram.
    • The following blood tests:
      • Day 3 FSH / LH;
      • Oestradiol;
      • Thyroid function (TSH);
      • Prolactin;
      • Rubella;
      • HIV;
      • VDRL;
      • Chlamydia; and
      • Day 21 progesterone.
    • Laparoscopy.
    • Hysteroscopy.
    • Surgery (uterus and tubal).
    • Manipulation of ovulation defects and deficiencies.
    • Semen analysis (volume, count, mobility, morphology, MAR-test).
    • Basic counselling and advice on sexual behaviour, temperature charts, etc.
    • Treatment of local infections.
  • The artificial insemination of a person as defined in the National Health Act, 2003 (Act No 61 of 2003). 
  • Immunisation (including immunisation procedures and material) which is required by an employer, excluding flu immunisations and standard child immunisations.
  • Bandages, cotton wool and plasters on prescription that are not used by a supplier of service during a treatment/procedure.
  • Services which are claimable from the Compensation Commissioner, an employer or any other party, subject to the stipulations of rule 15.4.
  • Treatment of alcoholism and drug abuse as well as services rendered by institutions which are registered in terms of section 21(2) of the Abuse and Dependence-producing Substances and Rehabilitation Centres Act, 1971 (Act No. 41 of 1971) or other institutions whose services are of a similar nature, except in the following instance when alcohol and drug abuse will be considered as a Prescribed Minimum Benefit:

 

 

 Code  Diagnosis  Treatment 
 182TAbuse or dependence on psychoactive substance, including alcoholHospital-based management up to three weeks per benefit year
 910TAcute delusional mood, anxiety, personality, perception disorder and organic mental disorder caused by drugsHospital-based management up to three weeks per benefit year
 910TAlcohol withdrawal delirium; alcohol intoxication deliriumHospital-based management up to three days leading to rehabilitation
 910TDelirium: amphetamine, cocaine, or other psychoactive substanceHospital-based management up to three days

 

 

 

  • Exercixe, guidance and rehabilitation programmes.
  • Treatment of impotence.
  • Treatment of occupational diseases.
  • Services rendered by social workers.
  • Completion of medical and other questionnaires not requested by Medihelp.
  • Costs of evidence in a lawsuit.
  • Costs of visits at home and home programmes.
  • Costs exceeding the scheme tariff for a service or the maximum benefit limit to which a member is entitled, subject to Annexure 2 of the Rules.
  • Food substitutes, food supplements and patent food, including baby food.
  • Multivitamin and multi-mineral supplements alone or in combination with stimulants (tonics).
  • Slimming remedies, provided that benefits shall be considered if motivation by a medical specialist as life-essential to be used for a limited period, and if approved beforehand by the Principle Officer.
  • All patent substances, suntan lotions, anabolic steroids, contact lens solutions
  • Substances not registered by the South African Medicines Control Council, except in the case of medicine items approved by Medihelp in the following instances:
    • medicine items with patient-specific exemptions in terms of section 21 of the Medicines and Related Substances Control Act, 1965 (Act No 101 of 1965) as amended;

    • homeopathic and naturopathic medicine items that have valid NAPPI codes as well as compounded non-proprietary medicine items dispensed by a homeopath/naturopath; and

    • where well-documented, sound evidence-based proof exists of efficacy and cost-effectiveness. 

  • When only accommodation and/or general care services are rendered.
  • The cost of transport with an ambulance/emergency vehicle –
    • from a hospital/other institution to a residence;

    • in the event of self-inflicted injury, unless it is a Prescribed Minimum Benefit;

    • in the event of a visit to friends/family; and

    • to the rooms of a medical practitioner when the objective of the visit/consultation/treatment does not pertain to admission in a hospital. 

  • The cost of harvesting and/or preserving human tissues, including, but not limited to, stem cells, for future use thereof to treat a medical condition which has not yet been diagnosed in a beneficiary.
  • Breast augmentation (applicable to the Dimension Prime range).
  • Breast reduction (applicable to the Dimension Prime range).
  • Gastroplastry (applicable to the Dimension Prime range).
  • Gender reversal operations (applicable to the Dimension Prime range).
  • Lipectomy (applicable to the Dimension Prime range).
  • Epilation (applicable to the Dimension Prime range).
  • Otoplasty/reconstruction of the ear (applicable to the Dimension Prime range).
  • Refractive procedures (applicable to the Dimension Prime range).
  • Obesity (applicable to the Dimension Prime range).
  • All biological and other medicine items as per Medihelp's medicine exclusion list (applicable to the Dimension Prime range).
  • Hip, knee and shoulder replacements (applicable to the Dimension Prime 1, Dimension Prime 2 and Dimension Prime 3).
  • Sclerotherapy  (applicable to the Dimension Prime range).
  • Appliances such as blood pressure apparatus, mattresses and magnifying readers.
  • Hymenectomy and circumcision (applicable to Dimension Prime 1).
  • Removal of impacted wisdom teeth during hospitalisation (applicable to Dimension Prime 1 and Dimension Prime 2).
  • Insulin pumps and related consumables (applicable to the Dimension Prime 1, Dimension Prime 2 and Dimension Prime 3).
  • Pathology services requested by naturopaths, herbalists and homeopaths.
  • High technology treatment modalities, surgical appliances and medicine (applicable to the Dimension Prime range).

 

 

Dental exclusions

  • Oral hygiene instructions and oral hygiene evaluation.
  • Nutritional and tobacco counselling.
  • Caries susceptibility and microbiological tests.
  • Electrognathographic recordings and other such electronic analyses.
  • Fissure sealants on patients older than 16 years.
  • Replacement of amalgam (silver) fillings with composite (white) fillings.
  • Gold foil restorations.
  • Pulp capping (direct and indirect).
  • Polishing of restorations.
  • Ozone therapy.
  • Metal base to full dentures, including the laboratory cost.
  • Crown and bridge procedures for cosmetic reasons and the associated laboratory costs.
  • Diagnostic dentures and the associated laboratory costs.
  • Provisional crowns and the associated laboratory costs.
  • Emergency crowns that are not placed for the immediate protection in tooth injury, and the associated laboratory costs.
  • Resin bonding for restorations charged as a separate procedure.
  • Dental bleaching.
  • Porcelain veneers and inlays and the associated laboratory costs.
  • Orthodontic treatment for cosmetic reasons.
  • The auto-transplantation of teeth.
  • The closure of an oral-antral opening when claimed during the same visit with impacted teeth.
  • Where the reason for admission to hospital is dental fear or anxiety.
  • Where the only reason for admission to hospital is to acquire a sterile facility.
  • Perio chip.
  • The hospital and anaesthetic claims for the following procedures will not be covered when performed under general anaesthesia:
    • Apisectomies.

    • Dentectomies.

    • Frenectomies.

    • Soft-tissue impactions.

    • Conservative dental treatment (fillings, extractions and root canal therapy) in hospital for adults.

    • Professional oral hygiene procedures.

    • Implantology and associated surgical procedures.

    • Surgical tooth exposure for orthodontic reasons.

    • Removal of impacted wisdom teeth unless covered by bone. 

  • Orthognathic (jaw correction) surgery and the related hospital cost, and the associated laboratory costs.
  • Sinus lift.
  • Bone augmentations.
  • Bone and other tissue regeneration procedures and the cost of material.
  • Fillings to restore teeth damaged due to toothbrush abrasion, attrition, erosion and fluorosis.
  • Surgical periodontics which includes gingivectomies, periodontal flap surgery, tissue grafting and hemisection of a tooth.
  • Orthodontic re-treatment and the associated laboratory costs.
  • The cost of dental materials for procedures performed under general anaesthesia.
  • Dolder bars and associated abutments on implants, including the associated laboratory costs.
  • The laboratory costs, where the associated dental treatment is not covered.
  • The laboratory cost associated with mouth guards. The clinical fee will be covered at the Medihelp Dental Tariff where clinical protocols apply.
  • Snoring appliances and the associated laboratory costs.
  • High-impact acrylic.
  • Cost of mineral trioxide.
  • Cost of prescribed toothpastes, mouthwashes (e.g. Corsodyl) and ointments.
  • The cost of gold, precious metal, semi-precious metal and platinum foil.
  • Cost of invisible retainer material.
  • Cost of bone regeneration material.
  • Appointments not kept.
  • Professionally applied topical fluoride in adults.
  • Laboratory delivery fees.
  • Special reports.
  • Dental testimony.
  • Enamel microabrasion.
  • Behaviour management.
  • Intramuscular and subcutaneous injections.
  • Procedures that are defined as unlisted procedures.
  • The clinical fee for the addition of a soft tissue base to new dentures. The laboratory fee will be covered at the Medihelp Dental Tariff where clinical protocols apply.
  • The clinical fee for denture repairs and denture tooth replacements. The laboratory fee will be covered at the Medihelp Dental Tariff where clinical protocols apply.
  • Multiple hospital admissions.
  • Full mouth rehabilitations and the associated laboratory costs.
  • Root canal therapy on primary (milk) teeth.
  • Provisional dentures and associated laboratory costs.
  • Treatment plan completed (code 8120). 

       

      Denis dental protocols
      Fillings

      • For extensive restorative treatment plans (multiple fi llings) a treatment plan and X-rays may be requested.

      Crowns and bridges 

      • Benefits for crowns will be granted once per tooth in a 5-year period.
      • Benefits for crowns/bridges will not be applied toward the following cases:
      • Laboratory fabricated crowns on primary teeth
      • Fixed prosthodontics (crowns) used to repair teeth damaged due to bruxism (tooth grinding); toothbrush abrasion or attrition; erosion or fluorosis
      • Fixed prosthodontics where a reasonable attempt has not been made to restore/replace the tooth conservatively
      • Fixed prosthodontics where the member’s mouth is periodontally compromised
      • Fixed prosthodontics where the tooth has been recently restored to function
      • Fixed prosthodontics (crowns) where the tooth is unopposed/non-functional.For extensive restorative treatment plans (multiple fi llings) a treatment plan and X-rays may be requested.

      Periodontics

      • Periodontal benefi ts will only be applied to cases assessed as periodontally compromised.

      Orthodontics

      • Benefits for orthodontic treatment are only available to benefi ciaries whose treatment commences before their 18th birthday.
      • Only one beneficiary per family may commence orthodontic treatment in a calendar year.

      Maxillo-Facial Surgery and Oral Pathology

      • Benefit for Temporo-mandibular Joint (TMJ) therapy is limited to non-surgical intervention/treatments.
      • The claims for oral pathology procedures (cysts and biopsies, the surgical treatment of tumours of the jaw and soft tissue tumours) will only be covered if supported by a laboratory report that confi rms diagnosis.

      Scheme exclusions:

      • Orthognathic (jaw correction) surgery
      • Bone augmentations
      • Bone and tissue regeneration procedures
      • The cost of bone regeneration material
      • The auto-transplantation of teeth
      • Sinus lifts
      • The closure of an oral-antral opening (currently code 8909) when claimed during the same visit with impacted teeth (currently codes 8941, 8943 and 8945) is a scheme exclusion.

      Hospitalisation (general anaesthetic)

      General anaesthetic benefi ts are available for the removal of impacted teeth; benefi t will be granted where the teeth are covered by bone.

      The Hospital and anaesthetist claims for the following procedures will not be covered when performed under general anaesthesia. The payment of the dental procedure will be dependent on available benefi ts, and payable at MDT:

      Soft tissue impactions

      • Apicectomies
      • Dentectomies
      • Frenectomies
      • Implantology and associated surgical procedures
      • Conservative dental treatment (fillings, extractions and root canal therapy) for adults
      • Professional oral hygiene procedures
      • Surgical tooth exposures for orthodontic reasons

      Scheme exclusions:

      • Where the only reason for admission to hospital is dental fearand anxiety
      • Multiple hospital admissions
      • Where the only reason for the admission request is for a sterile facility
      • The cost of dental materials for procedures performed under general anaesthesia

       

       

      Copyright © Medihelp 2012.     disclaimer    Conflict of interest    Medihelp is an authorised financial services provider
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